Individual provider Active NPI

Ryan Christopher Coy, MD

  • Physical Medicine & Rehabilitation Physician
  • Gaylord, MI
National Provider Identifier
1821525890
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
4301507768 Issued in MI
Practice address
2922 D and M Dr
Gaylord, MI 49735-7417
Phone
(231) 348-3283
NPI assigned
May 22, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 4301507768 MI Primary

Addresses

Primary practice location

2922 D and M Dr
Gaylord, MI 49735-7417

Mailing address

2375 Summit Park Dr
Petoskey, MI 49770-8685
Phone (231) 348-3283

Other practice location 1

2375 Summit Park Dr
Petoskey, MI 49770-8685
Phone (231) 348-3283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220831000455 MI Practitioner - Physical Medicine and Rehabilitation 3779853007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Loma Linda University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eugene P Wang DO PCGroup PAC ID 5294821807, 6 clinicians

Practice addresses (Care Compare)

2922 D and M Dr
Gaylord, MI 49735-7417
Phone (231) 348-3283

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Eugene P Wang, DO PC Physical Medicine & Rehabilitation CurrentSince Sep 6, 2022 Accepting new patients

Locations

2922 D and M Dr
Ste B
Gaylord, MI 49735
Phone (231) 348-3283

2922 D and M Dr
Gaylord, MI 49735
Phone (231) 348-3283

2375 Summit Park Dr
Petoskey, MI 49770
Phone (231) 348-3283

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1821525890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 SUMMIT PARK DR",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708685",
            "telephone_number": "231-348-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2922 D AND M DR",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497357417",
            "telephone_number": "231-348-3283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2375 Summit Park Dr",
            "address_purpose": "LOCATION",
            "city": "Petoskey",
            "state": "MI",
            "postal_code": "497708685",
            "country_code": "US",
            "telephone_number": "231-348-3283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COY",
        "first_name": "RYAN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-22",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301507768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

Verify at the official NPI Registry.